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Members wishing to add a dependent under age 26 to their Welfare Fund coverage at no cost should use the Welfare Fund’s online Update Your Information (Change of Status) form. Use this form to decline Welfare Fund dental and/or vision benefits for yourself and eligible dependents.
- Other Benefits
Forms for other benefits. Most of the forms below are PDF...
- Forms and claims
How to Obtain Forms, Current Panel Listings and Information....
- Other Benefits
How to Obtain Forms, Current Panel Listings and Information. For forms needing Fund validation such as optical and hearing aid, members should call the Forms Hotline at 212-539-0539. UFT Chapter Leaders have panelist listings, dental forms and other Welfare Fund literature.
Return this form along with a paid itemized receipt for optical services and an eye exam prescription to General Vision Services, Att: UFT OON-Dept, 520 Eighth Avenue, Suite 900, New York, NY 10018. General Vision Services will issue reimbursement checks to the members name and address on record.
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SUBMIT ONLINE: Please fill out the information below and submit your claim. SUBMIT BY MAIL: Click to download and print this form to submit by mail. Complete and return this claim form to GVS. An itemized paid receipt and a copy of the eye exam prescription must accompany the claim form.
As A member of the Uft WelfAre fUnd, you and your eligible dependents can obtain optical services once every two years. This entitles you to one pair of eyeglasses and an accompanying eye exam, or to contact lenses. Prescription sunglasses are also covered. CHECK YOUR ELIGIBILITY You can check your eligibility at www.gvsuft.com. You will
ALL ITEMS LISTED ON THE OPTICAL FORM WILL BE SUBJECT TO VERIFICATION. The above constitutes a summary of the eligibility requirements and claims procedures. Members are to refer to the Benefit Booklet published by the Welfare Fund for the full official regulations.
People also ask
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An optical service consists of a complete pair of single vision, bifocal or trifocal eyeglasses, or the replacement of a frame, or lens, and at the same time, if necessary, an eye exam*. The optical service cannot be split between two (2) visits or two (2) panelists. 1. A complete pair of eyeglasses includes: A.
